Individual
AMANDA K RICKEVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
52 EAST ST, PLAINVILLE, CT 06062-2309
(860) 747-5787
(860) 747-3311
Mailing address
72 MARSH RD APT 17, WILLINGTON, CT 06279-2115
(860) 605-3114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014166
CT
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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